Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.23 / $4,425.00 / $18,711.00	Facility		$743.23	$4,425.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,437.64 / $8,597.96 / $17,546.59	Facility		$2,437.64	$8,597.96	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $513.48 / $1,990.95 / $4,219.78	Facility		$513.48	$1,990.95	$4,219.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.98 / $3,252.08 / $3,639.12	Facility		$870.98	$3,252.08	$3,639.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $2,437.64 / $2,961.46	Facility		$986.25	$2,437.64	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,942.06 / $11,941.00	Facility		$2,155.00	$2,942.06	$11,941.00